Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2021 Feb 19;100(7):e24662.
doi: 10.1097/MD.0000000000024662.

The effect of the therapy of "combination 3 methods progression" in patients with neurogenic bowel dysfunction (constipated type): Study protocol for a randomized controlled trial

Affiliations
Randomized Controlled Trial

The effect of the therapy of "combination 3 methods progression" in patients with neurogenic bowel dysfunction (constipated type): Study protocol for a randomized controlled trial

Qing Li et al. Medicine (Baltimore). .

Abstract

Background: As one of the important manifestations of neurogenic bowel dysfunction, constipation is characterized by high incidence and harmful effects. It has a negative impact on both physical and psychological health of patients. And there are no effective treatment options for this type of disease clinically. Therefore, this study is designed to examine the effect of the therapy of "combination 3 methods progression" in patients with neurogenic bowel dysfunction (constipated type).

Methods: This is a randomized, controlled, parallel-design clinical trial. A total of 60 patients with neurogenic bowel dysfunction (constipated type) will be randomly assigned to intervention group and control group. The control group will receive 4 weeks of usual rehabilitation care, the intervention group will receive 4 weeks of the therapy of "combination 3 methods progression" in addition to usual rehabilitation care. The primary outcome is the number of spontaneous bowel movement per week. Secondary outcomes are stool characteristics, degree of difficulty in defecation, level of anxiety, level of depression, and level of self-efficacy.

Discussion: The interventions of this protocol have been programmed to alleviate constipation in patients with neurogenic bowel dysfunction. Findings may provide preliminary evidence for clinical efficacy of the therapy of "combination 3 methods progression."

Trial registration: Chinese Clinical Trial Registry, IDF: ChiCTR2000041463. Registered on December 26, 2020.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Trial flow chart.
Figure 2
Figure 2
Diagram of pestle needle (from left to right: Kui Xing Pen, Vajra Pestle, Five star-Three terrace pestle, Seven Luminaries-mixed Yuan Pestle).
Figure 3
Figure 3
Pencil operated method.
Figure 4
Figure 4
Straight grip method.
Figure 5
Figure 5
Diagram of Bazheng acupoints.
Figure 6
Figure 6
Diagram of Heche road.

References

    1. Yeung HY, Iyer P, Pryor J, et al. . Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. Disabil Rehabil 2019;15:1–2. - PubMed
    1. Lynch AC, Anthony A, Dobbs BR, et al. . Anorectal physiology following spinal cord injury. Spinal Cord 2000;38:573–80. - PubMed
    1. Ozisler Z, Koklu K, Ozel S, et al. . Outcomes of bowel program in spinal cord injury patients with neurogenic bowel dysfunction. Neural Regen Res 2015;10:1153–8. - PMC - PubMed
    1. Krogh K, Nielsen J, Djurhuus JC, et al. . Colorectal function in patients with spinal cord lesions. Dis Colon Rectum 1997;40:1233–9. - PubMed
    1. Ng C, Prott G, Rutkwski S, et al. . Gastrointestinal symptoms in spinal cord injury: relationships with level of injury and psychologic factors. Dis Colon Rectum 2005;48:1562–8. - PubMed

Publication types